I have the chest of drawers with change tray on top (KingParrot, if anyone is wondering) and find it fantastic.

We have the room arranged so that the drawers are just beside the door, so there's plenty of space to stand to change a baby.

We have the top drawer arranged with nappies, wipes, etc so they are always close at hand (at baby height, essentially, rather than having to reach underneath the table). The other thing - it was suggested to me that closed drawers would be better as once bub is mobile, they'll tend to get into everything in the open change tables and can make huge messes with all of that stuff. With out set up, it will be quite a while before Sam can reach into that drawer to make a mess with wipes, lotions, powders, etc, if he at all can before he's out of nappies.

BW